Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy M Raycob, PAC

Individual provider Physician Assistant · NPI 1174594808

Mr. Timothy M Raycob, PAC is a Physician Assistant in Bartlesville, Oklahoma. Licensed in Oklahoma and Texas. Registered with an NPI since 2006.

Licensed in
OK, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

411 S Keeler AB-02-234C Phillips 66 Health Services
Bartlesville, OK 74003-6670
Phone: (918) 661-6811
Fax: (918) 977-8005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2136 (OK)
Physician Assistant Taxonomy 363A00000X · Licence PA04283 (TX)

Record details

NPI number1174594808
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 31, 2006
Last updated in NPPESAugust 1, 2012
Mailing address402452 W 2200 Rd, Bartlesville, OK 74006-0448

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